Hip protectors efficacy and barriers to adoption to prevent fall-related injuries in older adults: findings and recommendations from an international workgroup

The Journal of Safety Research has partnered with the Injury Center at the Centers for Disease Control and Prevention (CDC) in Atlanta, Georgia, USA, to briefly report on some of the latest findings in the research community. This report is the sixth in a series of CDC articles. This conference on Hip Protector Use was held at Boston University in June, 2004 under the sponsorship of the Injury Center. Hip fractures from falls are a major threat to the health and well-being of older adults. One approach to hip fracture prevention is the use of hip protectors (HPs), soft padding or hard shells embedded within specially designed underwear. This conference brought together experts to discuss the efficacy and barriers to using HP. Conclusions from the conference included the need for HP product specifications and standards of safety and efficacy, testing protocols, and efficacy trials. While no single entity was identified to advance these initiatives, this effort should be international and should involve collaboration between researchers, health care providers and policy-makers, and HP manufacturers. Plans are already underway for a second international conference in Europe to follow-up these recommendations and develop strategies for implementation.     

Mapping River Bathymetry With a Small Footprint Green LiDAR: Applications and Challenges1

Kinzel, Paul J., Carl J. Legleiter, and Jonathan M. Nelson, 2012. Mapping River Bathymetry with a Small Footprint Green LiDAR: Applications and Challenges. Journal of the American Water Resources Association (JAWRA) 1‐22. DOI: 10.1111/jawr.12008 Abstract: Airborne bathymetric Light Detection And Ranging (LiDAR) systems designed for coastal and marine surveys are increasingly sought after for high‐resolution mapping of fluvial systems. To evaluate the potential utility of bathymetric LiDAR for applications of this kind, we compared detailed surveys collected using wading and sonar techniques with measurements from the United States Geological Survey’s hybrid topographic/bathymetric Experimental Advanced Airborne Research LiDAR (EAARL). These comparisons, based upon data collected from the Trinity and Klamath Rivers, California, and the Colorado River, Colorado, demonstrated that environmental conditions and postprocessing algorithms can influence the accuracy and utility of these surveys and must be given consideration. These factors can lead to mapping errors that can have a direct bearing on derivative analyses such as hydraulic modeling and habitat assessment. We discuss the water and substrate characteristics of the sites, compare the conventional and remotely sensed river‐bed topographies, and investigate the laser waveforms reflected from submerged targets to provide an evaluation as to the suitability and accuracy of the EAARL system and associated processing algorithms for riverine mapping applications.     

Chemicals in Household Products: Problems with Solutions

The success of a regulatory regime in decreasing point-source emissions of some harmful chemicals has highlighted the significance of other sources. A growing number of potentially harmful chemicals have been incorporated into an expanding range of domestic household products and are sold worldwide. Tighter regulation has been proposed, and the European Commission has introduced the Regulation on the Registration, Evaluation, and Authorisation of Chemicals to address this concern. However, it is clear that in addition to the regulation, there is a potential to effect change through retailer and consumer attitudes and behaviours. Interviews were conducted with 7 key stakeholder groups to identify critical issues, which were then explored using a public survey questionnaire (1,008 respondents) and 8 subsequent focus groups. The findings demonstrated that the issue of chemicals in products is of concern to consumers for reasons of personal health rather than environmental protection. Key obstacles to the wider purchase of “green-alternative” products included perceived high cost and poor performance, lack of availability of products, and poor information concerning such products. Although improved regulation was seen as part of the solution, consumers must also play a role. It was clear from this study that consumers are not currently able to make informed choices about the chemicals they use but that they would be receptive to moving toward a more sustainable use of chemicals in the future if empowered to do so.     

COMPARING THE IMPAIRMENT PROFILES OF OLDER DRIVERS AND NON-DRIVERS: TOWARD THE DEVELOPMENT OF A FITNESS-TO-DRIVE MODEL

The purpose of this research effort was to compare older driver and non-driver functional impairment profiles across some 60 assessment metrics in an initial effort to contribute to the development of fitness-to-drive assessment models. Of the metrics evaluated, 21 showed statistically significant differences, almost all favoring the drivers. Also, it was shown that a logistic regression model comprised of five of the assessment scores could completely and accurately separate the two groups. The results of this study imply that older drivers are far less functionally impaired than non-drivers of similar ages, and that a parsimonious model can accurately assign individuals to either group. With such models, any driver classified or diagnosed as a non-driver would be a strong candidate for further investigation and intervention.     

Aggregate eco-efficiency indices for New Zealand--a principal components analysis

Eco-efficiency has emerged as a management response to waste issues associated with current production processes. Despite the popularity of the term in both business and government circles, limited attention has been paid to measuring and reporting eco-efficiency to government policy makers. Aggregate measures of eco-efficiency are needed, to complement existing measures and to help highlight important patterns in eco-efficiency data.This paper aims to develop aggregate measures of eco-efficiency for use by policy makers. Specifically, this paper provides a unique analysis by applying principal components analysis (PCA) to eco-efficiency indicators in New Zealand.The study reveals that New Zealand's overall eco-efficiency improved for two out of the five aggregate measures over the period 1994/1995–1997/1998. The worsening of the other aggregate measures reflects, among other things, the relatively poor performance of the primary production and related processing sectors. These results show PCA is an effective approach for aggregating eco-efficiency indicators and assisting decision makers by reducing redundancy in an eco-efficiency indicators matrix.     

Palaeotempestology: the study of prehistoric tropical cyclones--a review and implications for hazard assessment

Records of prehistoric tropical cyclones occur in the form of ridges of coral rubble, sand, shell, sand and shell, and pumice; erosional terraces in raised gravel beaches; barrier washover deposits; and, sediments deposited in the shallow offshore marine environment. Other less well-documented records occur as variations in isotopic ratios within speleothems and possibly tree rings, and changes in pollen records resulting from introduction of new species after forest disturbance due to cyclonic winds. As yet, such records have not been identified beyond 5500 years of age. Recent palaeotempestological studies in the United States and northern Australia have highlighted that the frequency and magnitude of these natural hazards do not remain constant over time, and there are periods when cyclogenesis is enhanced, and others of relative quiescence. Recognition of such regime changes, or non-stationarity in the long-term record, is important for risk assessments of this hazard. Until now however, few if any risk assessments have incorporated data from the long-term record of tropical cyclones, and instead have relied on generally short instrumented historical records. The longer-term records suggest that such an approach may miscalculate the 1% Annual Exceedance Probability risk to coastal communities from future tropical cyclones.     

Improving the TMDL Process Using Watershed Risk Assessment Principles

Ecological risk assessment (ERA) evaluates potential causal relationships between multiple sources and stressors and impacts on valued ecosystem components. ERAs applied at the watershed scale have many similarities to the place-based analyses that are undertaken to develop Total Maximum Daily Loads (TMDLs), in which linkages are established between stressors, sources, and water quality standards, including support of designated uses. TMDLs focus on achieving water quality standards associated with attainment of designated uses. In attempting to attain the water quality standard, many TMDLs focus on the stressor of concern rather than the ecological endpoint or indicators of the designated use that the standard is meant to protect. A watershed ecological risk assessment (WERA), at least in theory, examines effects of most likely stressors, as well as their probable sources in the watershed, to prioritize management options that will most likely result in meeting environmental goals or uses. Useful WERA principles that can be applied to TMDL development include: development and use of comprehensive conceptual models in the Problem Identification step of TMDLs; use of a transparent process for selecting Numeric Targets for TMDLs based on assessment endpoints derived from the management goal or designated use under consideration; analysis of co-occurring stressors likely to cause beneficial use impairment based on the conceptual model; use of explicit uncertainty analyses in the Linkage Analysis step of TMDL development; and frequent stakeholder interactions throughout the process. WERA principles are currently most applicable to those TMDLs in which there is no numeric standard and, therefore, indicators and targets need to be developed, such as many nutrient or sediment TMDLs. WERA methods can also be useful in determining TMDL targets in situations where simply targeting the water quality standard may re-attain the numeric criterion but not the broader designated use. Better incorporation of problem formulation principles from WERA into the TMDL development process would be helpful in improving the scientific rigor of TMDLs.